{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T08:44:29Z","timestamp":1781945069449,"version":"3.54.5"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2016,8]]},"abstract":"\n Purpose<\/jats:title>\n To review the outcome of total elbow replacement (TER) in 21 patients after a mean of 64 months.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Records of 12 women and 9 men aged 32 to 78 (mean, 59.1) years who underwent 22 TERs for rheumatoid arthritis by a single surgeon were reviewed. Functional outcome was assessed using the disability of the arm, shoulder and hand (DASH) questionnaire. The range of movement and Kaplan-Meier survival curve was determined. Adequacy of cementation was assessed on immediate postoperative radiographs. Aseptic loosening was assessed on radiographs using the Mayo clinic scoring system.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n After a mean follow-up of 64 (range, 10\u2013145) months, the mean DASH score improved from 72.3 to 46.8, mean flexion improved from 96.9\u00b0 to 128.1\u00b0, and mean extension lag from 37.3\u00b0 to 24.0\u00b0. The 5-year survival rate with symptomatic aseptic loosening as the end point was 100%, and the revision rate for all reasons was 69%. Cement mantle was adequate in 17, marginal in 4 (most lacked cement around the prosthesis tip), and inadequate in one who was clinically asymptomatic. At the latest follow-up, 4 patients had a type-1 radiolucent line and one had a type-2 radiolucent line of both components; all remained clinically asymptomatic. Two patients developed transient radial nerve neuropraxia. One patient underwent revision for peri-operative fracture. One patient underwent a 2-stage revision for deep infection. One patient underwent revision for bilateral periprosthetic fracture. One patient underwent revision for symptomatic aseptic loosening. No patient had elbow dislocation.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n TER is a viable option for pain relief and functional improvement in patients with rheumatoid arthritis.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/1602400228","type":"journal-article","created":{"date-parts":[[2017,1,21]],"date-time":"2017-01-21T12:28:36Z","timestamp":1485001716000},"page":"262-264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Mid-Term Outcome of Total Elbow Replacement for Rheumatoid Arthritis"],"prefix":"10.1177","volume":"24","author":[{"given":"Huw","family":"Williams","sequence":"first","affiliation":[{"name":"Glan Clwyd Hospital, Rhyl, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thayur","family":"Madhusudhan","sequence":"additional","affiliation":[{"name":"Glan Clwyd Hospital, Rhyl, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Sinha","sequence":"additional","affiliation":[{"name":"Glan Clwyd Hospital, Rhyl, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,8,30]]},"reference":[{"key":"bibr1-1602400228","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2013.784658"},{"key":"bibr2-1602400228","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163070-00002"},{"key":"bibr3-1602400228","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.09.016"},{"key":"bibr4-1602400228","first-page":"2439","volume":"87","author":"Little CP","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"bibr5-1602400228","doi-asserted-by":"publisher","DOI":"10.3109\/17453670903110642"},{"key":"bibr6-1602400228","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.02.020"},{"key":"bibr7-1602400228","doi-asserted-by":"publisher","DOI":"10.1308\/003588412X13171221589775"},{"key":"bibr8-1602400228","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(96)80002-4"},{"key":"bibr9-1602400228","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.026"},{"key":"bibr10-1602400228","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199809000-00012"},{"key":"bibr11-1602400228","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199708000-00014"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1602400228","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1602400228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:23:57Z","timestamp":1777706637000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1602400228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1177\/1602400228"],"URL":"https:\/\/doi.org\/10.1177\/1602400228","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}